Information Collection

Annual Certified Statement 43 CFR 2806.52(i) [PROPOSED NEW]

IC 260605 under ICR 202306-1004-001 · OMB 1004-0206.

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Information Collection (IC) Details

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IC Title:	Annual Certified Statement 43 CFR 2806.52(i) [PROPOSED NEW]	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 2806.52(i)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Energy

Subfunction: Energy Conservation and Preparedness

Privacy Act System of Records
Title: Land & Minerals Authorization Tracking System â Interior, LLM-32	FR Citation: 56 FR 5014

Number of Respondents: 75	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.